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[Mycotic aortic aneurysm after appendectomy]
M Rhomberg1, F Allerberger, M Mittermair
1Universitätsklinik für Chirurgie/Abteilung für Gefässchirurgie, Universität Innsbruck.
Abstract:
Mycotic aneurysms are a rare complication of septic diseases. Frequently they are recognized only in an advanced stage, with resulting poor prognosis. This case report describes a perforated mycotic abdominal aortic aneurysm following appendectomy. Bacterial culture revealed the presence of streptococcus zooepidemicus, an unusual finding in humans.
Insights
Mycotic aneurysms, a rare septic disease complication, often present late with poor outcomes. This case highlights a perforated abdominal aortic aneurysm caused by Streptococcus zooepidemicus post-appendectomy.
Area of Science:
- Vascular Surgery
- Infectious Diseases
- Medical Microbiology
Background:
- Mycotic aneurysms are rare but serious complications of systemic infections.
- Early diagnosis is crucial for managing these aneurysms, yet often challenging.
- Abdominal aortic aneurysms (AAAs) can be life-threatening, especially when mycotic.
Observation:
- A patient developed a perforated mycotic abdominal aortic aneurysm after an appendectomy.
- The aneurysm was identified in an advanced, critical stage.
Findings:
- Bacterial cultures isolated Streptococcus zooepidemicus from the aneurysm.
- Streptococcus zooepidemicus is an uncommon pathogen in human infections, particularly causing aneurysms.
Implications:
- This case underscores the importance of considering unusual pathogens in mycotic aneurysm etiology.
- Highlights the need for prompt diagnosis and management of abdominal aortic aneurysms in post-operative patients.
- Suggests potential for Streptococcus zooepidemicus to cause severe vascular complications.